MEDICAL INTERNISTS ASSOC. PA NPI 1700961034

NPI Information

  • NPI: 1700961034
  • Provider Name: MEDICAL INTERNISTS ASSOC. PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 17-15 MAPLE AVE
    FAIR LAWN, NJ
    ZIP 07410
  • Phone: (201) 797-4503

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NPI Details

MEDICAL INTERNISTS ASSOC. PA is a specialist in Fair Lawn, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MEDICAL INTERNISTS ASSOC. PA NPI is 1700961034. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17-15 MAPLE AVE
FAIR LAWN, NJ
ZIP 07410-552
Phone: (201) 797-4503
Fax: (201) 797-4270

The provider's authorized official is Marie Parker .
The authorized official title is Office Manager and has the following contact phone number (201) 797-4503.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistNEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERNEW JERSEYTAX ID
2526645MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
32843102MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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